Tessa Leigh Doe

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

229 Stedman St
Lowell, MA 01851-2705

Phone

(978) 441-0911

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pridestar EMS Inc

  • Land Ambulance
  • Lowell, MA
  • NPI 1134162977
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1043843386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WHITES MOUNTAIN RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302141",
            "telephone_number": "978-821-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 STEDMAN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512705",
            "telephone_number": "978-441-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOE",
        "first_name": "TESSA",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "100021990195",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gloucester",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "229 Stedman St",
            "city": "Lowell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018512705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DO Not Use - the Lowell General Hospital
• Hung T DO, M.D.
• Kathy P DO, PHARMD
• Le My Doan II, PH.D.
• Jacqueline Rae Dobin-O'Connell, CRNA
• Kathryn Doherty
• Virginia Bowers Doherty, RN/NP
• Amy Doiron, LSW
• Nalyne Sokun Dom, FNP-BC
• Hugo Anthony Dominguez

• All providers in Lowell, MA
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.